echs conference-24feb13
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Transcript echs conference-24feb13
ECHS CONFERENCE, VISAKHAPATNAM AREA - 24 FEB 13
ECHS SCHEME
Govt Sanctioned
-
30 DEC 02
Launched
-
01 APR 03
Polyclinics
-
227+199
Regional Centers
-
13+15
Central Organisation
-
01 (DELHI)
STATUS REPORT
Membership
Veterans
- 12,97,079
Dependents
- 28,86,097
Total Beneficiaries
- 41,88,417
Empanelled Hospitals
- 1377(173 STATIONS)
Budget FY 2012-13
- 1400 Crs
(Allotment against
projected 1860 Crs)
3
STATUS REPORT
Membership
Members
Veterans
Widows
ECHS
Def.
13, 37, 293
11, 78, 178
1,59,115
4, 69, 858
1, 18, 901
3, 50, 957
MUST MAKE ALLOUT EFFORTS FOR ENROLLING
ECHS BENEFICIARIES
NAVY
5%
AF
10%
ARMY
85%
ECHS SUBSCRIPTION RATES
Grade Pay Per Month
Subscription
Rs. 1800/-, Rs. 1900/-, Rs. 2000/-,
Rs.2400/- & Rs. 2800/-
Rs. 15,000/-
Rs. 3400/- & Rs. 4200/-
Rs. 27,000/-
Rs. 4600/-, Rs. 4800/-, Rs. 5400/& Rs. 6600/-
Rs. 39,000/-
Rs. 7600/- & Above
Rs. 60,000/6
RECENT ECHS DEVELOPMENTS
Upgraded ECHS Smart Card 32 KB valid at all Polyclinics
ECHS White Card – priority for disabled
UID No. will be furnished on ECHS Smarts Cards
w.e.f 01 Apr 2013
PLS NOTE : AADHAR CARDS WILL BE LINKED
RECENT ECHS DEVELOPMENTS
Minor brother, unmarried / divorced / abandoned or
separated /widowed dependent sisters/daughters have
been included in the dependents list of ECHS members
The choice of empanelled facility is with ECHS
members
For above 80 yrs preference be given for admission to
service hospital, if that is their choice, depending on bed
availability
07 days medicines will be issued by empanelled
hospital after discharge and cost included in bill / claim
RECENT ECHS DEVELOPMENTS
Outsourcing of bill processing
- TPA Started in five cities on trial basis i.e Delhi,
Chandimandir, Pune, Trivandrum, Secunderabad
w.e.f 01 Apr 12
- Jalandar, Jaipur, Kochi, Kolkata, Lucknow
05 more approved in Dec 12
- Rest in phased manner
RECENT ECHS DEVELOPMENTS
Outsourcing of Pharmacy Operation
To overcome the problem of non availability of
medicines at Polyclinics outsourcing is likely to
commence in Apr 2013 at following six cities
Delhi
Pune
Chandimandir
Trivandrum
Secunderabad
Lucknow
RECENT ECHS DEVELOPMENTS
Performance Bank Guarantee (PBG)
Issue of PBG had been taken up with the Govt
Rates have been reduced from Rs. 10 lakhs to
Rs. 2 lakhs and Rs. 1 lakh in CGHS cities and
Non-CGHS cities respectively for empanelled hospital
In case of other empanelled facilities this has been
reduced from Rs. 2 lakhs to Rs. 50,000/- and
Rs. 25,000/- in CGHS cities and non-CGHS cities
REGIONAL CENTRES – NAVY
Kochi
Visakhapatnam
Mumbai
POLYCLINICS UNDER NAVY
NHQ / India
- East Delhi
WNC
- Mumbai, Powai, Nerul (Thane), Karwar,
Chiplun, Mahad, Vasco-da-Gama,
Navi Mumbai (COD Kandivali)
ENC
- Vizag, Bhubaneswar, Balasore, Tirunelveli,
Kakinada, Srikakulam, Dhenkanal, Puri, Angul,
Ramanathapuram
SNC
- Kochi, Moovattupuzha, Painavu
ANC
- Port Blair
PENDING ISSUES WITH MOD
Additional manpower at polyclinics
Revision of pay of polyclinic staff
Non-availability of medicines
PROPOSED MANPOWER :
POLYCLINICS
Type A
Type B
Type C
Type D
Type E
M
NM
M
NM
M
NM
M
NM
M
MEDICAL OFFRS
6
6
3
3
2
3
2
2
1
MEDICAL SPECIALIST
2
2
2
2
1
1
0
1
0
DENTAL OFFICER
1
2
1
2
1
1
1
1
0
GYNECOLOGIST
1
1
1
1
0
0
0
0
0
RADIOLOGIST
1
1
1
1
0
0
0
0
0
OFFICER-IN-CHARGE
1
1
1
1
1
1
1
1
0
RADIOGRAPHER
1
1
1
1
1
1
1
1
0
DARK ROOM ASST
1
1
1
1
1
1
1
1
0
LAB TECHNICIANS
1
1
1
1
1
1
1
1
0
LAB ASSISTANT
1
1
1
1
1
1
1
1
0
ECG TECHNICIAN
1
1
1
1
1
1
1
1
0
PHYSIOTHERAPIST
1
1
1
1
1
1
1
1
0
PHARMACIST
4
4
3
3
3
3
3
3
0
NURSING ASSISTANT
3
3
3
3
3
3
3
3
1
DENTAL TECHNICIAN
1
2
1
2
1
1
1
1
0
PROPOSED MANPOWER : POLYCLINICS
Type A
Type C
Type D
Type E
M
NM
M
NM
M
NM
M
NM
M
3
2
2
1
2
1
1
1
0
CLERK
RECEPTIONIST/
DATA ENTRY OPERATOR
Type B
0
0
0
0
0
0
0
0
0
DRIVER
1
3
1
3
1
1
1
1
1
DENTAL ORDERLY
1
1
1
1
1
1
1
1
0
LAB ATTENDANT
1
1
1
1
1
1
1
1
0
DRESSER
1
1
1
1
1
1
1
1
0
CHOWKIDARS
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
0
PEONS
1
1
1
1
1
1
1
1
0
SAFAIWALA
1
1
1
1
1
1
1
1
0
35
21
28
28
27
12
03
FEMALE ATTENDANT
Total
37
15
40
32
21
15
9
12 926
REVISION OF PAY–POLYCLINIC STAFF
Category
Officers
Para Medical
Staff
Staff
Existing
Proposed
OIC
25,000/-
46,000/-
Med Offr
25,000/-
46,000/-
Med Splst
35,000/-
55,000/-
Gynaecologist
35,000/-
55,000/-
Dental Offr
25,000/-
46,000/-
Nursing Asst (Gen)
9,500/-
17,480/-
Nursing Asst (Spl)
10,000/-
18,400/-
Lab Assistant
10,000/-
18,400/-
Dental Hygienist
10,000/-
18,400/-
8000/-
14,720/-
7000/-
12,880/-
6500/-
11,960/-
Safaiwala
6500/-
11,960/-
Female attendant
6500/-
11,960/-
Receptionist
Non Medical Driver
Staff
Peon
NON-AVAILABILITY OF MEDICINES
Permit re-imbursement of NA medicines
Extend provision of LP to Mil Polyclinics
Enhance limit of LP to Rs. 2 lakhs & Rs. 1 lakh for type
A/B and C/D Polyclinics respectively
Outsource entire pharmacy services
EMPANELLED HOSPITAL – RC VISAKHAPATNAM
CARE HOSPITAL
INDUS HOSPITAL
LAZARUS HOSPITAL
VIJAYA DIAGNOSTICS
SHANKAR FOUNDATION
VISAKHAPATNAM
APPOLO HOSPITAL
KAKINADA
QUEEN’S NRI HOSPITAL
APPOLO HOSPITAL
KIMS HOSPITAL
VSKP
-Do-
(MOA pending)
- Do-
SRIKAKULAM (EOI pending)
REGIONAL CENTRE VISAKHAPATNAM
(DIRECTOR)
JT DIR (EST)
JT DIR (ACCTS)
JT DIR (MED)
17 SAILORS / EQUIVALENT
Tele contact
: 0891-2813134
Email address
: [email protected]
ECHS Blog
: rcechsvizag
Google search
: ECHS INDIA
ECHS MANAGEMENT
•
•
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MAIN COMPONENTS
POLYCLINIC
SEMO/HOSP
STN HQ/CDR
REGIONAL CENTRE
CENTRAL ORG
ECHS MANAGEMENT
•
MANAGED BY SERVING PERSONNEL
•
AT CENTRAL ORG/RC/STATION/SEMO
•
POLYCLINIC LEVEL
-VETERANS(OFF/MEN)=MED/NONMED
-CIVILIANS-MED/NONMED
FRON T END OF ECHS – POLYCLINIC!!!!
•
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VETERANS INTERACT DAY IN/ OUT
CONDUCT OF PC STAFF
EVEN LOWER MOST MAN MATTERS
SERVICE TO OWN COMMUNITY
OWN/BE PART OF THIS SYSTEM
FRONT END OF ECHS – POLYCLINIC!!!!
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•
•
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MUST SPK IN ONE VOICE
UPDATE KNOWLEDGE AMONG STAFF
PRESCRIPTION OF AVAILABLE MEDICINES
ASSISTING IN PLACING DEMANDS
BRANDED DRUGS VS GENERIC MEDICINES
FRON T END OF ECHS – POLYCLINIC!!!!
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•
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COSTITUTION ADV COMMITTEE WITH ESM ORG REPS
CONDUCT OF PC STAFF
REGULAR MEETINGS
DISPLAY OF PROCEEDINGS
SUGGESTION BOX
CONFIDENCE BUILDING MEASURES
FRONT END OF ECHS POLYCLINIC-WORK LOAD
• STAFF LIMITED/ REVIEW ONLY ONCE IN 5
YRS
• URBAN /SEMI URBAN PC LOAD
INCREASED
• VOLUNTEERS FROM ESM ORGANISATIONS
AND NGOs
• SELF DISCIPLINE AMONG ESM
MEDICINES SUPPLY!!
•
•
•
•
•
•
AFMSD –MMF DEMANDS/REVIEWS
DEPOT TO PC – LEADTIME MUCH
DGLP SUPPLY –BUDGETS GROWING!!
GENERIC MEDICINES/ COST LESS
MORE PERS CAN BE PROVIDED
SEMO/ OIC INTERACTIONS REGULARLY
HOSP BILL CLEARENCE!!!
• ESM DEMAND UNAUTHORISED SERVICES
• UNLESS MONEY SPENT/STN CDR CANNOT
DEMAND ADDL FUNDS
• BECOME SUPER AUDITORS /GETS BILLS
RETURNED EVERY STAGE!!!
• REIMBURSEMENT OF ESM EMERGENCY
CLAIMS MUST BE PRIORITY
HOSP BILL CLEARENCE!!!
• LATE SUBMISSION OF BILLS BY HOSP
• PROGRESS OF BILLS HELD UP AT
STNHQ/SEMO/ RC/ CENTRAL ORG/MOD
• EMPANNELLED HOSP OPT OUT
• NEED TO INTERACT EVERY LEVEL
• CHECK LISTS MUST BE MADE
• ERRORS FOR HUMANS!!!
POLY CLINIC AS WELLNESS CENTRES!!!
• PREVENTIVE HEALTH AWARENESS
PROGRAMMES FOR VETERANS
• SPECIALIST FROM MIL /EMP HOSP
• HEALTH EDUCATION BUT NOT AS
ENROLLMENTS TO HOSP
• BENEFITS TO ESM AND ECHS
RESOURCES/BUDGETS
THANK YOU
31